Organization · NPI-2
Edgewater Foot And Ankle Associates, PC
Podiatrist, Foot & Ankle Surgery · Edgewater, NJ
NPI number1992993018
StatusActive
Last updated in NPPESFeb 21, 2008
Details
- NPI
- 1992993018
- Entity type
- Organization (NPI-2)
- Legal business name
- Edgewater Foot And Ankle Associates, PC
- Organization subpart
- No
- Enumeration date
- Oct 15, 2007
- Last updated
- Feb 21, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213ES0103X | Podiatrist, Foot & Ankle Surgery | – | – | Yes |
Practice location
968 River RdSuite 100
Edgewater, NJ 07020-2237
Phone 201-224-8300 · Fax 810-958-2764
Mailing address
968 River RdSuite 100
Edgewater, NJ 07020-2237
Phone 201-224-8300 · Fax 810-958-2764
Authorized official
Jeffrey Miller
Owner
2012248300
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